In pregnancy, the risk of severe COVID-19 complications is much higher than in people who are not pregnant. The updated recommendation aligns with recommendations in other countries and is based on international evidence from a large number of people who have already received mRNA COVID vaccines when pregnant and no additional safety concerns have been shown. There is also increasing evidence that antibodies made by the mother after vaccination are shared with the baby in the cord blood that are likely to also protect her newborn baby against COVID-19.
As with all vaccines on the New Zealand Immunisation Schedule, there are no safety concerns about giving mRNA COVID-19 vaccine to women who are breastfeeding and by being vaccinated, mothers can provide some protection against COVID-19 for their babies in breastmilk.
Please refer to the Immunisation Advisory Centre's COVID-19 vaccination in pregnancy fact sheet for more information.
Shimabukuro TT, Kim SY, Myers TR, et al. Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. N Engl J Med. 2021 DOI: 10.1056/NEJMoa21049